Formulir 2a PU

BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

18000403 CITRA INSANI GARDA SEMESTA PT QQ NIPPON KONPO INDONESIA P CITRA INSANI GARDA SEMESTA PT QQ NIPPON KONPO INDONESI 11 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.)
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
1 19042404871 3216113004990001 ABDUL DARMA 30-04-1999 01-05-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
2 19018700997 3215012306970004 ADAM MAULANA 23-06-1997 01-02-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
3 14040558174 3215132507810002 ADE WAHYUDI 25-07-1981 01-11-2014 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
4 18029988351 3215200204970004 AGI SATRIA MAULANA 02-04-1997 01-06-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
5 11035965398 3604060908760001 AGUS SURACHMAN 09-08-1976 01-06-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
6 19048301006 3215052508930003 AGUS TRIANA 25-08-1993 01-06-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
7 19048301063 3215160308840006 AGUS YUSUP 03-08-1984 01-06-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
8 18005522943 3214121406910002 AHMAD HAMDANI 14-06-1991 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
9 15028650164 3214130107880002 AHMAD SAEPULOH 01-02-1989 01-05-2015 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
10 14017026874 3171042705740008 AHMAD SYARIFUDIN 27-05-1974 01-05-2014 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
11 19048301089 3214021002890001 AHMAD TEDI NUGRAHA 10-02-1989 01-06-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
12 11009819852 3279021501880001 AIP SUDRAJAT 15-01-1988 01-04-2011 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
13 12031434116 3302063107910001 AKHMAD SUBCHAN 31-07-1991 01-09-2012 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
14 16024597813 3314050603940002 ANAS ASH SHIDDIQ 06-03-1994 01-04-2016 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
15 18005523610 3215050904960004 ANDI SUHENDI 09-04-1996 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
16 13034557861 3216060105890015 ARI NURDIANTO 01-05-1989 01-10-2013 3,648,035.00 0.00 8,755.28 10,944.11 134,977.30 72,960.70 0.00 0.00 227,637.39
17 17041907092 3301231904930001 ARLINDO PRAKOSO 19-04-1993 01-07-2017 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
18 18005523354 3275010205840037 ASEP AWALUDIN 02-05-1984 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
19 12014021633 3215050809900004 ASEP SARIPUDIN 08-09-1990 01-02-2012 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
20 18005523305 3175061908810016 ASNAWI 19-08-1981 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
21 18005522976 3214135708970001 AULIYA AGUSTIN 17-08-1997 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
22 11018820578 3171052808820001 AZHAR ABDURACHMAN 28-08-1982 01-07-2011 3,648,035.00 0.00 8,755.28 10,944.11 134,977.30 72,960.70 0.00 0.00 227,637.39
23 18005523602 3215040101950002 BAGUS PIRDAUS 01-01-1995 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
24 14007173108 3215051810950004 BURHANUDIN 18-10-1995 01-01-2014 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
25 18005522927 3213246209980002 CUCUN RAHAYU 22-09-1998 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
26 19042404863 3215132307840001 DEDE KURNIA 23-07-1984 01-05-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
27 19089240782 3172011311830002 DEDI SUHERMAN 13-11-1983 01-09-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
28 18065830491 3602211608950004 DENI AGUSTIN 16-08-1995 01-08-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
29 18005523453 3215042612970001 DENI WAHYUDIN 26-12-1997 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
30 17019910656 3312086712930001 DESI WULANDARI 27-12-1993 01-01-2017 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
31 15004667299 1807160610940001 DIAN BIMA SENA 06-10-1994 01-01-2015 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
32 19048301048 3215133112920007 DIDIN WAHYUDIN 31-12-1992 01-06-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

18000403 CITRA INSANI GARDA SEMESTA PT QQ NIPPON KONPO INDONESIA P CITRA INSANI GARDA SEMESTA PT QQ NIPPON KONPO INDONESI 11 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.)
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
33 18005523529 3215042012930003 DIKI SETIAWAN 20-12-1993 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
34 19048301097 3213092303950009 DIPO DEAN PRABOWO 23-03-1995 01-06-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
35 18005523594 3214121908790001 DODI SUPRIADI 19-08-1979 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
36 12029463598 3209280107801634 DURAKMAN 01-07-1980 01-07-2012 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
37 18005523438 1606092109940002 EDY GUNARDI 21-09-1994 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
38 09016304942 3209092011880002 EKO DIAN KURNIAWAN 20-11-1988 01-08-2009 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
39 14038306750 3215160905930001 EMAN SULAEMAN 09-05-1993 01-11-2014 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
40 14017026924 3403011911930001 ERDA YUDI PRAMUKTI 19-11-1993 01-05-2014 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
41 10034033067 3305134810910001 ERNI ENDARWATI 08-10-1991 01-11-2010 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
42 13026967086 3215150812940001 FAHRI FATHONI 08-12-1994 01-08-2013 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
43 18005523636 3307020302870001 FAJAR SODIK 03-02-1987 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
44 12014144047 3403121806870001 FARYADI 18-06-1987 01-04-2012 3,648,035.00 0.00 8,755.28 10,944.11 134,977.30 72,960.70 0.00 0.00 227,637.39
45 18029988369 3215163108980001 FAUZI RIDWAN MURDANIH 31-08-1998 01-06-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
46 13030046547 3215290606930009 GINTO HARAHAP 06-06-1993 01-10-2013 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
47 19101987451 3603120612740007 HAERUL MARUP 02-02-1983 01-10-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
48 18005522737 3173050308770011 HAMID 03-08-1977 01-02-2018 3,648,035.00 0.00 8,755.28 10,944.11 134,977.30 72,960.70 0.00 0.00 227,637.39
49 19048300990 3215250710860001 HENDRA KOSWARA 07-10-1986 01-06-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
50 19048301055 3215051603970004 HERRY MAULANA 16-03-1997 01-06-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
51 12015485753 3215131010910003 INDRA MUHAMAD PAISAL 10-10-1992 01-05-2012 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
52 18058381551 3215045510990001 INDRI ROZIANI 15-10-1999 01-07-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
53 18005523578 3214010504840001 IPIT RAHMIN 05-04-1984 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
54 18005523644 3275023004930008 IQBAL FAUZI 30-04-1993 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
55 19058753351 3217082301930006 JERI ANWAR 23-01-1993 01-07-2019 4,146,126.00 0.00 9,950.70 12,438.38 153,406.66 82,922.52 0.00 0.00 258,718.26
56 11024368240 3175061103850029 JOKO BARU TRISNO 11-03-1985 01-06-2011 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
57 18005523289 3318113101970002 JORDAN ADITYA ALVIN 31-01-1997 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
58 18005522984 3205010907870002 KARIM SUKARA 09-07-1987 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
59 17005314889 3173050411940005 KHAIRUL IKHSAN 04-11-1994 01-02-2017 3,648,035.00 0.00 8,755.28 10,944.11 134,977.30 72,960.70 0.00 0.00 227,637.39
60 18005523370 3217070710940013 KUSMAN 07-10-1994 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
61 19042404830 3276011901930010 LEFI HERMAWAN 19-01-1993 01-05-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
62 18005522885 3214020703970003 LUKMAN TRY SUSANTO 07-03-1997 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
63 18005523586 3209141310910003 M FERHAT AZIS 13-10-1991 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
64 18065830517 3209090101000018 M.SAHRUL RAMADHAN 01-01-2000 01-08-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

18000403 CITRA INSANI GARDA SEMESTA PT QQ NIPPON KONPO INDONESIA P CITRA INSANI GARDA SEMESTA PT QQ NIPPON KONPO INDONESI 11 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.)
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
65 18005522851 3215140101910005 MANTA 01-01-1991 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
66 18065830459 3215036912980001 MARYATI 29-12-1998 01-08-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
67 16013609330 3215152610900002 MASJONI 06-09-1989 01-02-2016 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
68 07000450549 3172042403780001 MISBAH 24-03-1978 01-02-2007 3,648,035.00 0.00 8,755.28 10,944.11 134,977.30 72,960.70 0.00 0.00 227,637.39
69 19033830472 3209092007940004 MUHAMAD NUNU 20-07-1994 01-04-2019 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
NURHIDAYAT
70 18005523560 3215261209930010 MUHAMAD NUR YEKI 12-09-1993 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
71 18005522901 3215131003770002 MUHAMAD YAHYA SOLIHIN 10-03-1977 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
72 14011114288 3216051606770009 MUHAMMAD ALI 16-06-1977 01-02-2014 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
73 10020894100 3215131312800001 MUHAMMAD HERMANSYAH 13-12-1980 01-08-2010 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
74 19018701003 3215292705000001 MUHAMMAD IRFAN 27-05-2000 01-02-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
PIRMANSYAH
75 18029988419 1401040310930006 MUHAMMAD NUR AKBAR 03-10-1993 01-03-2018 3,648,035.00 0.00 8,755.28 10,944.11 134,977.30 72,960.70 0.00 0.00 227,637.39
76 18005522893 3276101907790004 MURIYAWAN 19-07-1979 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
77 15037592183 3172040209890003 NANANG TITOK 02-09-1989 01-07-2015 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
HARDIANSYAH
78 18005523552 3208231505880002 NANO SUTARNO 05-05-1988 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
79 12029463606 3215133001910003 NURDIN 30-01-1991 01-06-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
80 18005523503 3215040608910001 NURHASANNUDIN 06-08-1991 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
81 19089240790 3312081609910001 PARWANTO 16-09-1991 01-09-2019 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
82 15028650172 3209091802940002 PEBRI ROMDON 18-02-1994 01-05-2015 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
83 17019910615 3313081302710001 PETRUS HADI SAPUTRO 13-02-1971 01-01-2017 3,648,035.00 0.00 8,755.28 10,944.11 134,977.30 72,960.70 0.00 0.00 227,637.39
84 18005523347 3313152106970003 QOIRUDIN 21-07-1997 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
85 11000700317 3215131702840003 RADI YUDIANTO 17-02-1984 01-02-2011 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
86 19018701011 3215142611990002 RAMDAN HAMDANI 26-11-1999 01-02-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
87 18058381569 3215045907990003 RAMINA JULIA 19-07-1999 01-07-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
88 18005522810 1371032507900002 RANDY PRASETYA 25-07-1990 01-02-2018 3,648,035.00 0.00 8,755.28 10,944.11 134,977.30 72,960.70 0.00 0.00 227,637.39
89 18005522760 2171032607869013 RENGGA ANDI TIARA 26-07-1986 01-02-2018 3,648,035.00 0.00 8,755.28 10,944.11 134,977.30 72,960.70 0.00 0.00 227,637.39
90 19058753369 3213231212990004 REZA SUTEJA 12-12-1999 01-07-2019 4,146,126.00 0.00 9,950.70 12,438.38 153,406.66 82,922.52 0.00 0.00 258,718.26
91 18005522786 3209061012960001 RIAN RIFAI 10-12-1996 01-02-2018 3,648,035.00 0.00 8,755.28 10,944.11 134,977.30 72,960.70 0.00 0.00 227,637.39
92 18005522869 3209211906960003 RIFKI FAHRUDIN INDRAWAN 19-06-1996 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
93 18005522752 1804222301830001 RINTIS MARGITOMO 23-01-1983 01-02-2018 3,648,035.00 0.00 8,755.28 10,944.11 134,977.30 72,960.70 0.00 0.00 227,637.39
94 19042404848 1806111301000004 RIZKI SETIAWAN 13-01-2000 01-05-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
95 18005522950 3215132305790001 ROJAK KOSWARA 23-05-1978 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
96 18058381577 3215036112980007 ROSANAH 21-12-1998 01-07-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

18000403 CITRA INSANI GARDA SEMESTA PT QQ NIPPON KONPO INDONESIA P CITRA INSANI GARDA SEMESTA PT QQ NIPPON KONPO INDONESI 11 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.)
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
97 14040558182 3215050607830012 ROSIDIK SURYADI 06-07-1983 01-11-2014 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
98 19101987428 3209191106950003 ROYYAN FIRDAUS 11-06-1995 01-10-2019 3,940,973.00 0.00 9,458.34 11,822.92 145,816.00 78,819.46 0.00 0.00 245,916.72
99 18005522919 3214131605850001 RUDI KOSWARA 16-05-1985 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
100 18005523628 3215041802930001 SADI ROSADI 18-02-1993 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
101 19048300966 1804051809910004 SAEPUDIN 18-09-1991 01-06-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
102 10020894894 3171022702660002 SE HOK BENG (JANTJE) 27-02-1966 01-08-2010 3,648,035.00 0.00 8,755.28 10,944.11 134,977.30 72,960.70 0.00 0.00 227,637.39
103 18005522935 3328043009950005 SEPTIANTO ALI PUTRA 30-09-1995 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
104 18005522844 3215290604800001 SOLEH 06-04-1980 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
105 10024524059 3403121701910002 SUBANDIYO 17-01-1991 01-09-2010 3,648,035.00 0.00 8,755.28 10,944.11 134,977.30 72,960.70 0.00 0.00 227,637.39
106 19077546125 3215290111900000 SUGIONO 01-11-1990 01-08-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
107 18005523313 3216020906800007 SUGIONO 09-06-1980 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
108 08021975258 3215290111900002 SUGIONO 01-11-1990 01-11-2008 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
109 14017027013 3318112304940002 SUGIYATNO 23-04-1994 01-05-2014 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
110 18005523339 3215132211750003 SUHERLAN 22-11-1975 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
111 18005523511 3213040505820012 SUHERMAN 06-05-1982 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
112 19048301022 3214052510900002 SUKIRMAN 25-10-1990 01-06-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
113 08022507431 3215252310890001 SULIS SETIAWAN 23-10-1989 01-11-2008 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
114 17019910698 3216110508920004 SUMIRNA 05-08-1992 01-01-2017 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
115 15050828415 3215131007840009 SUNANDAR 10-07-1984 01-08-2015 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
116 18005523537 3215161004970002 SUPRIATNA 10-04-1997 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
117 11024368281 3215052702910004 TARSIM GUNAWAN 27-02-1991 01-07-2011 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
118 14024907967 3217090202820038 TARYANA 02-02-1982 01-08-2014 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
119 10010867694 3215131109900002 TJAHYONO 11-09-1990 01-06-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
120 18005523412 3204371005950003 TONI RIANTO 10-05-1995 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
121 18005523420 1504041002970005 ULUL ARI AKBAR 10-02-1997 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
122 18005522992 3215010208820007 USEP SUNANDAR 02-08-1982 01-06-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
123 09030486634 3214134402920003 UUN UNAYAH 04-02-1992 01-10-2009 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
124 19101987444 3315172806990004 VERA ANJANG JUNIAR 29-06-1999 01-10-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
125 18005522836 3215291704850001 VIAN HARDIANSYAH 17-04-1985 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
126 18005522877 3209281910910004 WAHYU 19-10-1991 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
127 19048300982 3215131308940002 WAHYU ILAHI 13-08-1994 01-06-2019 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
128 17031784618 3215252208890002 WARTA 22-08-1989 01-04-2017 4,234,010.00 0.00 10,161.62 12,702.03 156,658.37 84,680.20 0.00 0.00 264,202.22
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

18000403 CITRA INSANI GARDA SEMESTA PT QQ NIPPON KONPO INDONESIA P CITRA INSANI GARDA SEMESTA PT QQ NIPPON KONPO INDONESI 11 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.)
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
129 13023173407 3208173010950001 WAWAN MUHAMAD RIDWAN 30-10-1995 01-07-2013 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
130 13014141348 3211202102930004 YOGI ARIYANTO 21-02-1993 01-04-2013 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
131 18005523545 3175073005820010 YON CLIFF RICHARD DARDELI 30-05-1982 01-02-2018 3,919,291.00 0.00 9,406.30 11,757.87 145,013.77 78,385.82 0.00 0.00 244,563.76
519,546,459.00 0.00 1,246,911.00 1,558,639.00 19,223,219.00 10,390,929.00 0.00 0.00 32,419,698.00
Jumlah Seluruhnya

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, 21 Februari 2020

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